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Organization
CACHE CREEK LODGE
Active
Organization
CACHE CREEK LODGE
Active
Parent organization
CACHE CREEK LODGE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CACHE CREEK LODGE, INC.
Authorized official
GABRIEL M SMITH (OWNER/DIRECTOR)
(530) 662-5727
Entity
Organization
Contact information
Practice address
435 ASPEN ST, WOODLAND, CA 95695-2665
(530) 662-5727
Mailing address
435 ASPEN ST, WOODLAND, CA 95695-2665
(530) 662-5727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A03430315
CA
Other
Enumeration date
01/26/2017
Last updated
06/22/2020
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